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Dawn Russo: Discussion

Mrs. Russo's glucose is lowered to 200 and she is on a full liquid diet. Her IV insulin is discontinued and she is placed on 10 units SQ NPH bid with sliding scale coverage of regular insulin qid for finger stick values of 200 or more.

Later that evening you see her and she is breathing deeply and rapidly.

Her fingerstick is 310. Her bicarbonate is 12.

What happened?


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